Recruitment and retention of the rural podiatry workforce in Aotearoa New Zealand: a qualitative descriptive study of podiatrist perceptions.
Podiatry
Rural workforce
Workforce recruitment
Workforce retention
Journal
Journal of foot and ankle research
ISSN: 1757-1146
Titre abrégé: J Foot Ankle Res
Pays: England
ID NLM: 101471610
Informations de publication
Date de publication:
09 Aug 2022
09 Aug 2022
Historique:
received:
13
03
2022
accepted:
21
07
2022
entrez:
9
8
2022
pubmed:
10
8
2022
medline:
12
8
2022
Statut:
epublish
Résumé
Past research into the Aotearoa New Zealand (NZ) podiatry workforce has indicated a shortage of podiatrists, particularly in rural NZ. However, there has been no research investigating the characteristics of the NZ rural podiatry workforce. This study aimed to explore the factors which contribute to recruitment and retention of primary care podiatrists in rural NZ. A qualitative descriptive approach was implemented for data collection and analysis. Semi-structured interviews were conducted with 15 podiatrists who currently, or previously, worked in a rural podiatry practice. Manifest content analysis was used to analyse participant's responses. A deductive approach was used where data were identified and coded according to predetermined themes from the literature. Four themes that influenced recruitment and retention were derived from the interviews: (1) professional factors, (2) economic factors, (3) social factors, and (4) external factors. Interviews revealed that clinical inexperience, a sole practice environment, professional and social isolation, and workload pressures combined to affect recruitment and retention. Strong community bonds, family ties, and a rural background were crucial to thrive in the rural setting. A sustainable rural podiatry workforce is required to reduce health disparities that exist in NZ rural communities. The study identified that most practitioners entered the rural workforce into self-employed positions, often shortly following graduation from university. They soon reported feelings of professional isolation due to limited support networks. Practitioners established in the rural workforce noted significant workload stresses. Stresses stemming from an inability to source locums, take time away from work, or recruit new staff to fill vacant positions. Research examining support mechanisms for inexperienced practitioners and targeted strategies to grow the rural workforce and reduce attrition is required.
Sections du résumé
BACKGROUND
BACKGROUND
Past research into the Aotearoa New Zealand (NZ) podiatry workforce has indicated a shortage of podiatrists, particularly in rural NZ. However, there has been no research investigating the characteristics of the NZ rural podiatry workforce. This study aimed to explore the factors which contribute to recruitment and retention of primary care podiatrists in rural NZ.
METHODS
METHODS
A qualitative descriptive approach was implemented for data collection and analysis. Semi-structured interviews were conducted with 15 podiatrists who currently, or previously, worked in a rural podiatry practice. Manifest content analysis was used to analyse participant's responses. A deductive approach was used where data were identified and coded according to predetermined themes from the literature.
RESULTS
RESULTS
Four themes that influenced recruitment and retention were derived from the interviews: (1) professional factors, (2) economic factors, (3) social factors, and (4) external factors. Interviews revealed that clinical inexperience, a sole practice environment, professional and social isolation, and workload pressures combined to affect recruitment and retention. Strong community bonds, family ties, and a rural background were crucial to thrive in the rural setting.
CONCLUSION
CONCLUSIONS
A sustainable rural podiatry workforce is required to reduce health disparities that exist in NZ rural communities. The study identified that most practitioners entered the rural workforce into self-employed positions, often shortly following graduation from university. They soon reported feelings of professional isolation due to limited support networks. Practitioners established in the rural workforce noted significant workload stresses. Stresses stemming from an inability to source locums, take time away from work, or recruit new staff to fill vacant positions. Research examining support mechanisms for inexperienced practitioners and targeted strategies to grow the rural workforce and reduce attrition is required.
Identifiants
pubmed: 35945617
doi: 10.1186/s13047-022-00562-3
pii: 10.1186/s13047-022-00562-3
pmc: PMC9361604
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
58Informations de copyright
© 2022. The Author(s).
Références
Aust J Rural Health. 2008 Feb;16(1):40-6
pubmed: 18186721
Med Educ. 2009 Oct;43(10):1001-9
pubmed: 19769650
BMC Oral Health. 2016 Jun 01;16(1):63
pubmed: 27251191
Rural Remote Health. 2012;12:1900
pubmed: 22845190
Med J Aust. 2015 Jan 19;202(1):41-5
pubmed: 25588445
Nurse Educ Today. 2004 Feb;24(2):105-12
pubmed: 14769454
J Foot Ankle Res. 2020 Oct 12;13(1):62
pubmed: 33046123
Aust Health Rev. 2017 Dec;41(6):698-706
pubmed: 27977385
Qual Health Res. 2016 Nov;26(13):1753-1760
pubmed: 26613970
N Z Med J. 2016 Aug 05;129(1439):77-81
pubmed: 27507724
J Prim Health Care. 2019 Jul;11(2):152-158
pubmed: 32171358
J Adv Nurs. 2008 Apr;62(1):107-15
pubmed: 18352969
Eur J Dent Educ. 2019 Nov;23(4):437-447
pubmed: 31206944
N Z Med J. 2018 Nov 9;131(1485):6-7
pubmed: 30408812
Aust J Rural Health. 2011 Apr;19(2):81-8
pubmed: 21438950
Rural Remote Health. 2019 Aug;19(3):4878
pubmed: 31469964
Nurse Educ Today. 2019 May;76:8-20
pubmed: 30739877
Aust J Rural Health. 2012 Feb;20(1):29-34
pubmed: 22250874
BMC Med Res Methodol. 2009 Jul 16;9:52
pubmed: 19607668
Rural Remote Health. 2020 Mar;20(1):5299
pubmed: 32228005
Health Soc Care Community. 2006 Nov;14(6):532-40
pubmed: 17059495